2024 Dube Chute Raffle Payment Form

2024 TLBGCA Dube Chute Raffle

Payment Form
Name:

First NameLast Name
Email:
example@example.com
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number:*
Number Of Raffle Tickets? (Select from the drop down)
How would you like to pay?*

Credit / DebitCheck (mailed)
Note: If paying by credit card, for your protection we will call you to obtain credit card information.
Make check payable to:

Texas Longhorn Breeders Gulf Coast Association

Mail check to: Kim Head, 305 S. Downing Rd., Angleton, TX 77515
Calculation
Should be Empty:

2024 TLBGCA Dube Chute Raffle